Healthcare Provider Details

I. General information

NPI: 1699144386
Provider Name (Legal Business Name): MARIE-FE FIRMA BELOCURA MSN, RN, PHN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2015
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1119 EAST MONTE VISTA AVE, MS 32-175 INTEGRATED CARE CLINIC - ADULT MENTAL HEALTH
VACAVILLE CA
95688
US

IV. Provider business mailing address

1119 E MONTE VISTA AVE # MS 32-175
VACAVILLE CA
95688-3009
US

V. Phone/Fax

Practice location:
  • Phone: 707-469-4664
  • Fax: 707-448-1119
Mailing address:
  • Phone: 707-469-4664
  • Fax: 707-448-1119

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number492117
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number492117
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN492117
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number492117
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number492117
License Number StateCA
# 6
Primary TaxonomyN
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number492117
License Number StateCA
# 7
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number492117
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: